一套知识翻译工具,用于低收入和中等收入国家的孕产妇健康实施计划:两个国家的发展和试点评估
Lisa M Puchalski Ritchie1,2,3,4, Kathleen Gamble2, Mercedes Vila Ortiz5,6
1Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada lisa.puchalskiritchie@utoronto.ca.
BMJ global health
|November 30, 2025
概括
这项研究开发了一套工具,以帮助低收入和中等收入国家 (LMICs) 通过解决实施障碍来改善孕产妇健康. 该工具包提供了一种结构化的方法,用于评估和克服基于证据的实践的挑战.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 孕产妇健康 孕产妇健康
背景情况:
- 知识翻译 (KT) 对于改善低收入和中等收入国家 (LMICs) 的母亲健康至关重要.
- 现有的知识技术工具在LMIC环境中往往缺乏适用性,因为容量有限和独特的挑战.
- 开发和评估了一套新的工具包,以支持在LMICs的实施计划.
研究的目的:
- 为非专家开发和评估一个用户友好的工具包,以支持在LMICs的实施计划.
- 在资源有限的环境中解决现有的知识技术方法的局限性.
- 加强在LMICs中采用基于证据的孕产妇健康实践.
主要方法:
- 基于先前的研究来开发工具包,确定五个LMIC的实施障碍,文献综述和定性研究.
- 通过咨询国际合作伙伴和可用性测试来完善工具包.
- 试点评估使用焦点小组和在阿根廷和加纳与各种利益相关者进行观察.
主要成果:
- 在阿根廷和加纳,来自不同角色 (提供者,政策制定者,患者) 的31名参与者参与了该工具包.
- 参与者报告了结构化的讨论,全面的障碍/促进者评估和观点交流的好处.
- 根据参与者的反,工具包说明和措辞的小修订被纳入.
结论:
- 该工具包为LMIC产妇健康实施者提供了一个结构化的资源,以评估和排名障碍和促进者.
- 它指导了对基于证据的实施策略的障碍的绘制.
- 建议对各种健康主题,LMIC和低资源环境进行进一步评估.
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